Broeseker, Tim Alan

Broeseker, Tim Alan is an individual health care provider with primary practice located at 1300 Miccosukee Road Tmpp - Cancer & Hematology, Tallahassee FL 32308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Broeseker, Tim Alan can be contacted via phone (850) 431-5360.

Contact Information

Primary practice address
1300 Miccosukee Road Tmpp - Cancer & Hematology Tallahassee FL 32308
Phone: (850) 431-5360
Fax: (850) 431-5367
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME0047148 Florida

Profile Details

NPI number 1093803777
LBN Legal business name Broeseker, Tim Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jan 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093803777 NPPES
Other 05945 BCBS
MEDICAID 048530600 BCBS

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